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GAO Report: Despite Some Delays, CMS Has Made Progress Implementing Programs to Limit Health Insurer Risk under the ACA
U.S. Government Accountability Office [GAO]
June 1, 2015
48 pages. "[CMS] considered market characteristics and program duration in designing the three programs mandated by the [ACA] to mitigate the risks issuers of health insurance faced starting in 2014. Each of the three programs -- risk adjustment, reinsurance, and risk corridors -- was intended to account for a different source of issuer risk, such as enrollee health status or high-cost medical claims.... GAO describes: [1] the factors that guided CMS's design of these programs, [2] the data collection systems CMS developed for these programs, [3] CMS's plans to monitor and evaluate the programs, and [4] issuer experiences with the programs." [GAO-15-447, published Apr. 30, 2015, released Jun. 1, 2015]
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